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Thyroid Eye Disease by Jonathan J. Dutton,Barrett Haik Pdf
This reference details the anatomy and physiology of the thyroid gland, the environmental and genetic factors associated with Graves' disease, and the immunological mechanisms responsible for related systemic disorders and inflammations of the eye and adjacent tissue structures. Written by more than 60 esteemed international authorities, Thyroid Ey
The only educational resource and guide for patients with Graves' Ophthalmopathy, an inflammatory eye disorder that often precedes, accompanies, or follows autoimmune thyroid disease.
Patients aftlicted with thyroid eye disease or Graves' ophthamopathy (GO) may experience not only pain and visual loss, but also disfigurement. Full understanding of pathogenesis has been elusive, and treatment modalities are imperfect. As with other conditions, more effective intervention will follow only after a better understanding of pathogenesis is reached. The goal of this volume is to give an overview by leaders in the field of the present state of the art both in pathogenesis and clinical aspects of GO. Much attention has been directed towards determining which cells within the orbit are targets of the autoimmune process, and how these and other cells might participate in the local inflammatory process. It is now generally agreed that orbital fibroblasts, preadipocyte fibroblasts, and adipocytes are the targeted and activated cells in GO and that full-length TSH receptor (TSHr) is expressed in these cells. Further, there is growing consensus that this receptor is up-regulated in the orbit in GO, residing primarily in newly differentiated adipocytes. However, it is also evident, given a sufficiently sensitive assay, that TSHr is detectable in fibroblasts and adipocytes from the normal orbit and other anatomic sites, as well. It will be important to determine whether the observed increase in orbital TSHr expression itself initiates the orbital autoimmune process. Also to be decided is whether orbital lymphocytes from GO patients specifically recognize this receptor, and what factor or factors unique to Graves' dIsease might stimulate TSHr expression in orbital cells.
In 1956, three groups independently reported evidence that some thyroid disease appearing spontaneously in humans or experimentally induced in animals are related to autoimmune processes. The interval between these landmark discoveries and the present has witnessed a remarkable and continuing growth of both knowledge and concepts concerning the mechanisms of immune regulation, the pathogenesis of autoimmune thyroid diseases, and their clinical and laboratory manifestations. More importantly knowledge of thyroid autoimmunity has, in many respects, comprised the vanguard of an ever increasing appreciation and understanding of autoimmune diseases in general. On November 24-26 1986, an International Symposium on Thyroid Autoimmunity was held in Pisa. Its purpose was to commemorate the birth of thyroid autoimmunity as a scientific discipline, to summarize current knowledge and concepts in this area, and where possible, to anticipate areas of opportunity for the future - hence the theme of the Symposium, Memories and Perspectives. To open the meeting, the Magnifico Rettore (Chancellor) of the University of Pisa granted special Awards to Dr. Deborah Doniach, Dr. Ivan Roitt, and Dr. Noel R. Rose, who published the first fundamental studies in the field of thyroid autoimmunity, and to Dr. Duncan G. Adams, whose discovery of the long-acting thyroid stimulator (LATS) opened the door to our current understanding of the pathogenesis of Graves' disease. During the meeting thirty plenary lectures were presented.
Well-established clinical monograph on the diagnosis and management of thyroid eye disease, a disorder challenging to diagnose and treat. This edition has been thoroughly revised and features a new chapter on differential diagnosis to further aid the clinician. * - Thoroughly revised edition of this classic text * - Features a new chapter on differential diagnosis to further aid clinicians in this challenging specialty * - Dr. Char is a world-renowned expert on thryoid eye disease; this book combines Dr. Char's vast clinical experience with references to the best or most helpful literature on the subject
Graves' Orbitopathy by W.M. Wiersinga,G.J. Kahaly Pdf
The significant progress in the understanding of the pathogenesis and the treatment of Graves’ orbitopathy (GO) has warranted a second edition of this book within three years of the first. Now also fully incorporated is the EUGOGO consensus statement on management of GO, which since has been accepted worldwide as a useful guideline. Furthermore all chapters have been thoroughly updated. Subjects covered include the pathology of GO and the controversial views on its pathogenesis; assessment of changes using reliable measuring techniques; medical management of GO including established and alternative treatment options; technical explanations and illustrations of various surgical procedures and finally, the molecular, immunologic, and clinical aspects of this complex disorder. Two new chapters have been added: one describing the socioeconomic impact of the disease and the other outlining the Amsterdam Declaration on Graves’ Orbitopathy. The successful question-and-answer format facilitates its use as a reference guide for medical practitioners and surgeons working in the fields of ophthalmology, internal medicine, endocrinology, pediatrics, immunology, as well as otorhinolaryngology.
Thyroid Eye Disease: Understanding Graves' Ophthalmopathy by Edgar Harrison Pdf
Graves' disease refers to a disorder affecting the immune system which leads to the overproduction of thyroid hormones. Graves' ophthalmopathy, also called Graves' orbitopathy, is an autoimmune disease affecting the retro-ocular tissues in patients having Graves' disease. It is primarily the disease of the orbit and can have severe implications, such as loss of sight. It causes swelling in the area around the eyes, which causes bulging of the eyes. The symptoms of Graves' ophthalmopathy include double vision, bulging eyes, swelling in the eyelids, vision loss, sensitivity to light, redness or inflammation, and difficulty in moving eyes. This disease results in increased extraocular muscle volume and orbital fat in the orbital space. The targets of autoimmune attack within Graves' ophthalmopathy are the fibroblasts residing in the orbital tissues. Radiation, immunosuppression and surgical procedures, like orbital decompression surgery, eye muscle surgery and eyelid surgery are utilized to treat severe forms of this disease. This book contains some path-breaking studies on Graves' Ophthalmopathy. It is a valuable compilation of topics, ranging from the basic to the most complex advancements in the study of this disease. The book will serve as a reference to a broad spectrum of readers.
The Thyroid Eye Disease Book by Elaine A. Moore Pdf
In her meticulous, exhaustive and thoughtful book, Elaine Moore has written the definitive guide on Thyroid Eye Disease (TED), more specifically referred to as Graves' Ophthalmopathy (GO). This common eye disorder is associated with the autoimmune thyroid disease, Graves' Disease and also with Hashimoto's thyroiditis, a disorder of hypothyroidism. The Thyroid Eye Disease Book will fill a void for much sought after information on this condition unique to thousands of Graves' patients worldwide. In her book, Moore also personalizes the information by sharing other patients' stories and narratives, helping to validate universal struggles people with this condition face. The Thyroid Eye Disease Book describes all facets of thyroid eye disease, including: -genetic, environmental and lifestyle factors that contribute to GO -signs, symptoms -diagnostic tests -conventional and complementary treatment options, with an emphasis on the role of self-care -complications -psychosocial issues of living with GO
Graves' Orbitopathy by Wilmar M. Wiersinga,George Kahaly Pdf
In recent years, close interdisciplinary cooperation of numerous international experts, both clinicians and basic scientists, within the European Group of Graves' orbitopathy (EUGOGO) has yielded much valuable progress and new information, which this publication brings together. Subjects covered include the pathology of Graves' orbitopathy (GO) and the controversial views on its pathogenesis; assessment of changes using reliable measuring techniques; medical management of GO including established and alternative treatment options; technical explanations and illustrations of various surgical procedures and finally, the molecular, immunologic, and clinical aspects of this complex disorder. Stressing the current management of thyroid eye disease, this book offers medical practitioners a thorough overview of associated changes in the eyes of patients with GO. Therefore, this publication is an essential resource for ophthalmologists, internists, endocrinologists, pediatricians, immunologists, specialists in nuclear medicine, neuroradiologists and radiotherapists, specialists in laboratory medicine and pathology, otorhinolaryngologists, orbital and neurosurgeons as well as oral and maxillofacial surgeons.
Surgery in Thyroid Eye Disease by Suryasnata Rath,Milind N. Naik Pdf
This surgical manual provides a step-by-step guide to various surgical procedures for patients with thyroid eye disease (TED). The key surgical steps are covered in detail, with intra-operative photographs. The manual addresses all aspects of TED, including the basic anatomy, surgical preparation, evaluation of imaging, and surgical procedures. TED is commonly encountered by oculoplastic surgeons and general ophthalmologists in their daily practice, and restoration of the normal appearance is vital to patients and their families. Surgical treatments for TED include basic oculoplastic surgery, complex eyelid surgery, strabismus surgery, orbital surgery, and aesthetic procedures. All of the contributing authors are eminent experts with vast experience in treating TED. High-resolution images will help readers understand the key surgical steps, and are combined with a minimal amount of text, reflecting the book’s focus on surgical technique. Offering a complete guide that contains all relevant surgical knowledge on TED, presented in a highly practice-oriented format, the book is a must-read for every surgeon whose work involves managing TED.
Practical Management of Pediatric Ocular Disorders and Strabismus by Elias Traboulsi,Virginia Utz Pdf
This case-based approach to the management of pediatric eye diseases and strabismus teaches the novice, as well as the experienced surgeon, how to conceptualize and analyze surgical planning to maximize patient outcomes, allowing readers to “get inside the head of the surgeon.” Individual cases with clear instructions and an abundance of color illustrations, presented by experts in the field, teach critical information one case at a time. Practical Management of Pediatric Ocular Disorders and Strabismus provides the key guiding principles of a traditional textbook in an easy-to-digest format. Each chapter of the text tackles a common or rare clinical situation and begins with the description of an illustrative case. The chapters are structured with sections on case description, differential diagnosis, management and outcomes with a list of possible complications and the approach to their management.
Author : Mark F. Prummel Publisher : Springer Science & Business Media Page : 195 pages File Size : 53,9 Mb Release : 2012-12-06 Category : Medical ISBN : 9781461546474
Recent Developments in Graves’ Ophthalmopathy by Mark F. Prummel Pdf
Recent Developments in Graves' Ophthalmopathy offers an overview of the pathogenesis, assessment and management of patients with thyroid-associated eye disease. Each chapter is written by an expert and truly represents the current state of the art on the particular topic. This book can therefore almost be considered a textbook on this enigmatic disorder. Recent Developments in Graves' Ophthalmopathy is designed for all those interested in this disease, including basic scientists, clinical endocrinologists, ophthalmologists, radiotherapists, and orbital surgeons. The book gives a comprehensive overview of all aspects of Graves' ophthalmopathy. Subjects covered include the pathology of Graves' eye disease and the controversial views on its autoimmune pathogenesis; assessment of the eye changes using reliable measurements; medical management of Graves' eye disease with an overview of the many treatment options available to the clinician, including orbital radiotherapy and other immunosuppressive treatments; management of the thyroid disease; and finally, the techniques for performing various surgical procedures, which are explained and illustrated.
This indispensable volume is designed to facilitate the best possible physician–patient discussion on Graves’ disease by providing the most up-to-date evidence-based information in a clinically useful and patient-centric manner. Comprehensive and covering such topics as Professionalism and the Art of Patient-centric Thyroidology, the Immunopathogenesis of Graves’ Disease, and the Diagnosis and Management of Thyroid Storm, the book addresses all the important refinements in the treatment of Graves’ disease in recent years. These include new indications and contraindications for antithyroid drugs, improved approaches to radioactive iodine therapy, the development of novel surgical techniques, and a better understanding of the combined use of these modalities, among other developments. Also addressed are the advances in the treatment of GO, including the use of disease activity and severity assessments to inform management decisions and the completion of the first randomized controlled therapeutic trials. Developed by a renowned group of internationally respected authorities, Graves’ Disease: A Comprehensive Guide for Clinicians is a significant new reference that will be of great interest to all clinicians who treat this debilitating condition.
